Health YA!© Registration Form

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Paid in Full - $523.95 (GST Inc.) 3 Monthly Payments - $174.95 (GST Inc.)

By choosing the above payment option and signing below, you are authorizing RFC Fitness Inc. to bill your account for the Health YA!© Nutrition Plan.

***Please let us know in the text box below what date works best to bill each month.

Notes: If today does not to work to bill, what does does work for you monthly?

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Health YA! © Registration Form